Organization
THE MRI CENTER AT WHITE MARSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PATRICK MULREANEY CPA (PRESIDENT)
(410) 931-6674
Entity
Organization
Contact information
Practice address
9900 FRANKLIN SQUARE DRIVE, SUITE D, NOTTINGHAM, MD 21236
(410) 931-6674
(410) 931-2989
Mailing address
9900 FRANKLIN SQUARE DRIVE, SUITE D, NOTTINGHAM, MD 21236
(410) 931-6674
(410) 931-2989
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M249
MD
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403128800
—
MD
01
—
P00135265
RAILROAD MEDICARE
MD
Enumeration date
10/28/2005
Last updated
02/25/2011
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